Ellis, Bryan M

Ellis, Bryan M is an individual health care provider with primary practice located at 1623 E Main St , Magnolia AR 71753-3803. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Ellis, Bryan M can be contacted via phone (870) 234-7073.

Contact Information

Primary practice address
1623 E Main St Magnolia AR 71753-3803
Phone: (870) 234-7073
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PD15241 Arkansas

Profile Details

NPI number 1619501921
LBN Legal business name Ellis, Bryan M
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2020
Last updated Feb 25th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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